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Health Aff (Millwood). 2007 Nov-Dec;26(6):w717-34.

Toward higher-performance health systems: adults' health care experiences in seven countries, 2007.

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  • 1Commonwealth Fund in New York City, USA. cs@cmwf.org


This 2007 survey compares adults' health care experiences in Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States. In all countries, the study finds that having a "medical home" that is accessible and helps coordinate care is associated with significantly more positive experiences. There were wide country differences in access, after-hours care, and coordination but also areas of shared concern. Patient-reported errors were high for those seeing multiple doctors or having multiple chronic illnesses. The United States stands out for cost-related access barriers and less-efficient care.

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